Membership Freezing & Cancellation Form
Member Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reason for Freezing or Cancellation
*
Illness or Injury
I'm moving!
I joined another yoga studio!
My finances no longer allow the cost!
I just don't use it enough!
Need showers!
I'm going on vacation! - Note: freezing an account is only guaranteed for up to 2 months.
Other
If Freezing your Account, please indicate the dates of the freeze and the date of resumption. Note: only two months are allotted for freezing accounts. After two months, your membership autopay will resume unless you cancel your membership by filling out a subsequent request via this form prior to the expiration of your account freeze.
Rate Your Overall Experience at Kefi Yoga (1 is poor, 5 is great)
*
1
2
3
4
5
Date
-
Month
-
Day
Year
Date
Please explain.
Has your experience at Kefi Yoga fulfilled your expectations?
*
Yes
No
Please explain.
What comments or suggestions do you have regarding our instructors?
I am providing Kefi Yoga a written notice to cancel my membership, as required by my agreement. I understand that I am responsible for any billing that will occur in the next 14 days including cancellation and/or no-show fees.
Yes
No
I understand that I will still have access to the facility until the date listed below.
*
-
Month
-
Day
Year
Date
Member Signature
Date
-
Month
-
Day
Year
Date
Save
Submit
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